| Name Of the Firm : | Sivasankar Medical Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/Po- Daspalla Pl.No2168/4050, Khata.No-1057/226 |
| RP Name : | Sri Arjun Kumar Rath |
| Registration Number : | 8095 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Prakash Chandra Sethi |
| R : | 18612 |
| RC : | 18613 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/3/2003 |
| Date of Expiry : | 9/3/2018 |
| Remarks : |